Provider Demographics
NPI:1447221718
Name:MUSIKER, SEYMOUR BERNARD (MD)
Entity Type:Individual
Prefix:DR
First Name:SEYMOUR
Middle Name:BERNARD
Last Name:MUSIKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2233 NESCONSET HWY
Mailing Address - Street 2:STE 106
Mailing Address - City:LAKE GROVE
Mailing Address - State:NY
Mailing Address - Zip Code:11755-1000
Mailing Address - Country:US
Mailing Address - Phone:631-585-4440
Mailing Address - Fax:631-585-4497
Practice Address - Street 1:2233 NESCONSET HWY
Practice Address - Street 2:STE 106
Practice Address - City:LAKE GROVE
Practice Address - State:NY
Practice Address - Zip Code:11755-1000
Practice Address - Country:US
Practice Address - Phone:631-585-4440
Practice Address - Fax:631-585-4497
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-27
Last Update Date:2010-08-23
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Provider Licenses
StateLicense IDTaxonomies
NYNY088172208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
C09891Medicare UPIN